RN (Registered Nurse)

Unit Notes
JOB: ICU
Start Date:
Start Dates are not flexible.
100-mile radius rule
Epic EMR proficiency required and recent
No 48-hour guarantees.
No blocked scheduling requests.
No more than 5 days of RTO.

Trauma level I/II of recent hospital experience required.

NURSE PATIENT RATIOS: 1:1 or 1:2 (MedSurg ICU). If no vents/drips 1:3.
• # of Beds: 42
• Required Certifications: BLS, ACLS, NIHSS.
• Common diagnoses/Types of patients: Cardiac-open heart, balloon, impella, tPA, TPE, core staff will do the specialties; keep small head bleeds, post tpa administration-if intervention-flown to Phoenix; Level 3 trauma- keep here. not necessary to have trauma exp=core staff that MUST HAVE vent, sedation, sepsis, pressors , DKA, cardiac, CHF, respiratory.
• Are RNs required to titrate drips: Yes
• Common titratable &/or set rate drips: Below is a list of common drips for this ICU. Please make sure traveler has well rounded experience with a variety of critical ICU drips.
> Vasopressors: Epi, levophed, Phenylephrine, vasopressin.
> Inotropes: dopamine, dobutamine, primacor.
> Antiarrhythmics: amiodarone, cardizem, esmelol, lidocaine, procainamide.
> Anti-hypertensives: Clevidipine, labetalol, cardene, Nipride, nitro.
> Beta Adrenergic: Isuprel. Sedatives: Ketamine, Precedex, propofol, Versed. Paralytics: Vecuronium, Nimbex, rocuronium.
> Analgesics: Fentanyl, morphine. Anticoagulants: Aggrastat, tPA, Argatroban, Heparin, Integrilin.
> Additional: Insulin.
• Is there a Charge Nurse on each shift: Charge-free on both shift-go to codes, condition help (RRT).
• Are there nurse aids/patient care techs on this unit: PCA's. Ratios typically 1-10. PCA's can assist with: EKG, Blood sugar, procedures set up, I/O, ADL, lab draws (they are phlebs as well).
• Hospitalist &/or Intensivist in house 24/7: Intensivist 24 hours/day. Days: 2 MD's and 1 NP. Nights: 1 NP/1 MD.
• RT in ICU 24/7: Yes, RT will do vents settings, intubate, and all abgs.
• RT Equipment: Vents, Cpap, BiPap, High Flow. RT and RN will assist MD with bedside trachs.
• Are there Tele/Monitor Techs on this unit: USR- Unit support person- does unit clerk and monitors tele. Have centralized tele monitoring, in each nurses station. Monitor in rooms as well.
• Shifts & Scheduling: 6:45-7:15 (3 min before and after grace period to clock in and out) MUST CLOCK OUT FOR LUNCH. Self-schedule, 4 requested days off in a 4 week period, blocks not guaranteed, but try to work with traveler as much as possible to accommodate requests.
• Weekend Requirements: 4 weekend shift days in 4 week period required.
• Holiday Requirements: 2 major holidays required. Only require the holiday (not the eve) if Xmas.
• Is there a call or standby requirement?: No
• Floating Requirements: Yes, float to other units, only 4 patients instead of 6 patients though.
• Scrub Color: Navy Blue
• How many shifts of unit/department-specific orientation: One day NEO, one day with educator skills, competencies, procedures, one-day orientation on the floor.